Delayed puberty in males is characterized by the absence of testicular enlargement beyond the expected age range. It may result from constitutional delay, primary testicular failure, or central hormonal dysfunction.
Clinical evaluation includes physical examination, hormonal profiling, bone age assessment, and genetic testing when indicated. Early and accurate diagnosis is crucial to prevent long-term psychosocial and reproductive consequences.
Andrology plays a pivotal role in differentiating erotic benign developmental delay from pathological conditions requiring intervention.
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